| NPI | 1366558926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 62405) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-09-14 |